NPI | 1124221882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 229043) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229043) |
207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME158722) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2022-08-28 |